The Nurse Is Reviewing the Records of an Adolescent Client

The nurse is reviewing the records of an adolescent client.  Which findings suggest that the client may need referral for depression screening?  Select all that apply.

A) Client has had school disciplinary issues due to absenteeism and angry outbursts
B) Client has lost approximately 8 lb (3.64 kg) over the last 3 weeks without trying
C) Client is often found sleeping during class or activities
D) Client quit sports despite receiving previous athletic awards and trophies
E) Client voices concern about appearance related to facial acne